Sepsis-associated Acute Kidney Injury, Diagnosis, and Management, Review Article

2021 ◽  
Vol 10 (3) ◽  
pp. 129-136
Author(s):  
Abdullah Mohammed Alghamdi ◽  
‏Thamer Abdullah Alghamdi ◽  
Abdulaziz Abdullah Alangari ◽  
‏Saud Hussain Alhelal ◽  
Ebaa Ali Alebrahim ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Kidney Injury ◽  
Review Article ◽  
Diagnosis And Management ◽  
Management Review ◽  
Acute Kidney Injury Diagnosis

Current practice of diagnosis and management of acute kidney injury in intensive care unit in resource limited settings

2018 ◽  
Vol 46 ◽  
pp. 44-49 ◽  
Author(s):  
Nattachai Srisawat ◽  
Nattaya Sintawichai ◽  
Win Kulvichit ◽  
Nuttha Lumlertgul ◽  
Patita Sitticharoenchai ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Current Practice ◽  
Kidney Injury ◽  
Resource Limited Settings ◽  
Diagnosis And Management ◽  
Resource Limited

scholarly journals Chickenpox Mimicking Monkeypox in Adult with Diabetes Mellitus and Acute Kidney Injury: Diagnosis and Management

2021 ◽  
Vol 33 (3) ◽  
pp. 213
Author(s):  
Maya Wardiana ◽  
Rahmadewi Rahmadewi ◽  
Dwi Murtiastutik ◽  
Sawitri Sawitri ◽  
Damayanti Damayanti
Keyword(s):  
Diabetes Mellitus ◽  
Acute Kidney Injury ◽  
Renal Function ◽  
Kidney Injury ◽  
Skin Lesions ◽  
World Health ◽  
Varicella Zoster ◽  
Intravenous Acyclovir ◽  
Acute Kidney Injury Diagnosis ◽  
Health Organization

Background: Chickenpox caused by the varicella-zoster virus (VZV) in diabetes mellitus patients might exhibit similar clinical features with monkeypox, caused by monkeypox virus (MPXV). In May 2019, Singapore notified World Health Organization (WHO) of one laboratory-confirmed case of monkeypox. Considering Singapore is located near Indonesia, awareness about the possibility of an outbreak in Indonesia should be raised. Purpose: To report a case of chickenpox mimicking monkeypox in an adult with diabetes mellitus and acute kidney injury. Case: A 51-year-old male with poorly controlled diabetes mellitus was suspected to have a chickenpox differential diagnosis with monkeypox. His chief complaint was multiple blisters on his body and vomiting. There was a history of feeding a monkey. From dermatological status on facial, trunk, and extremities there were multiple pleomorphic vesicles. Laboratory results showed elevated renal function. Polymerase chain reaction (PCR) examination using VZV as primer revealed a positive result in the range of 810 bp. He was treated with intravenous acyclovir for 3 days and oral acyclovir for 7 days then discharged with improvement in skin lesions and normal renal function. Discussion: Chickenpox in adult and diabetes mellitus patients can give severe clinical manifestation mimicking monkeypox. PCR has a significant role especially when diagnosis could not be established from the physical examination. Acyclovir can be given as the therapy. Conclusion: Adult and poorly controlled diabetes mellitus are important risk factors associated with the severity and complication of chickenpox. A careful diagnostic approach and management are needed.

The Current State of the Diagnosis and Management of Acute Kidney Injury by Pediatric Critical Care Physicians*

2016 ◽  
Vol 17 (8) ◽  
pp. e362-e370 ◽  
Author(s):  
Amanda B. Hassinger ◽  
Sudha Garimella ◽  
Brian H. Wrotniak ◽  
Jo L. Freudenheim
Keyword(s):  
Acute Kidney Injury ◽  
Critical Care ◽  
Kidney Injury ◽  
Pediatric Critical Care ◽  
Diagnosis And Management ◽  
Current State

Saliva Urea Nitrogen Continuously Reflects Blood Urea Nitrogen after Acute Kidney Injury Diagnosis and Management: Longitudinal Observational Data from a Collaborative, International, Prospective, Multicenter Study

2016 ◽  
Vol 42 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Jochen G. Raimann ◽  
Viviane Calice-Silva ◽  
Stephan Thijssen ◽  
Fabiana Baggio Nerbass ◽  
Marcos A. Vieira ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Blood Urea Nitrogen ◽  
Diagnostic Performance ◽  
Journal Club ◽  
Kidney Injury ◽  
The United States ◽  
Operating Characteristics ◽  
Urea Nitrogen ◽  
Acute Kidney Injury Diagnosis ◽  
Monitoring Treatment

Background: Acute kidney injury (AKI) is a growing global concern and often reversible. Saliva urea nitrogen (SUN) measured by a dipstick may allow rapid diagnosis. We studied longitudinal agreement between SUN and blood urea nitrogen (BUN) and the diagnostic performance of both. Methods: Agreement between SUN and BUN and diagnostic performance to diagnose AKI severity in AKI patients in the United States and Brazil were studied. Bland-Altman analysis and linear mixed effects models were employed to test the agreement between SUN and BUN. Receiver operating characteristics statistics were used to test the diagnostic performance to diagnose AKI severity. Results: We found an underestimation of BUN by SUN, decreasing with increasing BUN levels in 37 studied patients, consistent on all observation days. The diagnostic performance of SUN (AUC 0.81, 95% CI 0.63-0.98) was comparable to BUN (AUC 0.85, 95% CI 0.71-0.98). Conclusion: SUN reflects BUN especially in severe AKI. It also allows monitoring treatment responses. Video Journal Club ‘Cappuccino with Claudio Ronco' at http://www.karger.com/?doi=445041.

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